Healthcare Provider Details

I. General information

NPI: 1518499714
Provider Name (Legal Business Name): LAUREN H HERALD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN R HERZOG MD

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MUZZEY ST
LEXINGTON MA
02421-5256
US

IV. Provider business mailing address

19 MUZZEY ST
LEXINGTON MA
02421-5256
US

V. Phone/Fax

Practice location:
  • Phone: 508-507-7764
  • Fax: 909-852-2760
Mailing address:
  • Phone: 508-507-7764
  • Fax: 909-852-2760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number281931
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: